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~ `."W RECEIVED <br /> COUNTY OF SAN JOAQUIN JAN 3 1 2006 <br /> OFFICE OF EMERGENCY SERVICES <br /> NIY <br /> ROOM 610,COURTHOUSE E O EM4u a Cy SER <br /> ++ 222 EAST WEBER AVENUE OFFICE OFEMEROENCYSERY <br /> STOCKTON,CA 95202 <br /> TELEPHONE(209)468-3962 <br /> t HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> 2008 HAZARDOUS MATERIALS MANAGEMENT PLAN AND INVENTORY <br /> CERTIFICATION STATEMENT <br /> (See Reverse Side for Instructions) <br /> 1. Business Identification Page Hazardous Materials Management Plan, Facility <br /> Maps) Certification- Check one box only <br /> 0% I certify that there have been no changes to the above listed documents <br /> since our business' last update or change was submitted. <br /> ❑ I certify that there has been a change to one or more of the above <br /> documents and that appropriate revised hard copy forms have been <br /> submitted with this Certification Statement. <br /> 2. Certification of Chemical Inventory - Check one box only <br /> I certify that the information contained in the most recently submitted <br /> chemical inventory is complete, accurate, up-to-date, and contains the <br /> information required by Section 11022 of Title 42 of the United States <br /> Code. I further certify that there has been no change in the quantity of any <br /> hazardous material reported and that no hazardous materials are being <br /> handled in regulated quantities that are not listed. <br /> ❑ I certify that there has been a change in my chemical inventory since the <br /> last submission and completed hard copies of changed Chemical <br /> Description Pages with"Add", "Delete", or"Revised"marked <br /> appropriately have been submitted with this Certification Statement. <br /> I understand that false or inaccurate information may make my company liable in an <br /> emergency. I further certify that I have reviewed the above listed documents and that <br /> the statements checked above constitute an accurate statement. <br /> n,WI hi <br /> Business Namer-DSD 'f . S /I/aX,Cat, 9ES count# 1&9(D <br /> Site Address 0/ S` 04 <br /> 37 <br /> Operator/Owner Title D W e Y <br /> f <br /> Signature Date f-0_G 8 <br />